Census Questionaire

Your Name:

Your Email:

TOWN NAME:

1) ARE INACTIVES TO BE PRINTED ON THE FORMS?

Yes: No:

2) ARE THERE ANY EXCLUSIONS (NURSING HOMES, ETC...)?

Yes: No:

IF YES, PLEASE SUBMIT THE ADDRESS HERE.

3) ARE VACANT ADDRESSES TO BE SENT A FORM?

Yes: No:

IF YES, PLEASE SEND A VRIS VACANT EXTRACT ON DISC.

LHS ASSOCIATES, INC.
13 BRANCH STREET
METHUEN, MA 01844

4) ARE RESIDENT TELEPHONE NUMBERS TO BE PRINTED?

Yes: No:

5) ARE THERE ANY INSERTS AND WILL LHS PRINT THEM OR WILL THE TOWN/CITY?

LHS TO PRINT

TOWN/CITY TO PRINT

NO INSERTS

6) DO YOU WANT “OR CURRENT RESIDENT “ PRINTED ON THE ADDRESS LINE?

Yes: No:

7) DO YOU WANT VOTER PARTY PRINTED OR AN ASTERISK?

Yes: No:

COMMENTS: